go back

New York rates for HCPCS J0400

Injection, aripiprazole, intramuscular, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.28 / $0.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.59 / $0.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.68 / $1.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.80 / $0.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.75
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.92 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.77 / $0.97
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.80 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.91 / $29.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $1.21
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.35
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.48